Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME73423 | FL |
N | 207RI0011X | Interventional Cardiology | ME73423 | FL |
NPI | 1083662266 |
---|---|
Provider Name | Dr. Ricardo A Yaryura |
First Address | Sarasota, FL 34232-2401 |
Second Address | Sarasota, FL 34232-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255465800 | (05) | FL |
G52003 | (02) |